Association of Prostate Volume With Voiding Impairment and Deterioration in Quality of Life After Prostate Biopsy

Aktaş, Binhan Kağan; Bulut, Süleyman; Gökkaya, Cevdet Serkan; Özden, Cüneyt; Salar, Remzi; Aslan, Yılmaz; Baykam, Mehmet Murat; Memiş, Ali

doi:10.1016/j.urology.2013.11.002

Cited by 14 publications

(13 citation statements)

References 12 publications

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“…Similarly, Aktas et al found that patients with a prostate volume >38.8 mL were more prone to voiding difficulty after transrectal ultrasound guided biopsy. The main limitations of this study are small sample size (92 men) and short follow-up (7 days) 24 . Less data are available on urinary side effects of transperineal PB.…”

Section: Lower Urinary Symptoms and Acute Urinary Retentionmentioning

confidence: 92%

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Complications After Systematic, Random, and Image-guided Prostate Biopsy

et al. 2017

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Evidence Synthesis: The most frequent complication after PB is minor and self-limiting bleeding (hematuria and hematospermia), irrespective of the biopsy approach. Occurrence of rectal bleeding was comparable among traditional TRUS-guided and image-guided PB. Almost 25% of patients experience lower urinary tract symptoms, but only a few have urinary retention, with higher rates after transperineal approach. Temporary erectile dysfunction is not negligible, with a return to baseline after 1-6 months. The incidence of infective complications is being increasing, with higher rates among men with medical comorbidities and older age. Transperineal and in-bore MRI targeted biopsy may reduce the risk of severe infectious complications. Mortality after PB is uncommon, irrespective of biopsy technique. Conclusions:Complications after PB are frequent but often self-limiting. The incidence of hospitalization due to severe infections is continuously increasing. Still, a careful appraisal of 3 patient's general health status, risk factors and likelihood of antimicrobial resistance should be done before scheduling a PB. Patient Summary:In this paper we reviewed the variety and incidence of complications after prostate biopsy. Even if frequent, seldom represent a problem for the patient. The most troublesome complications are infections. In order to minimize this risk, a careful evaluation of patient's medical condition must be done before biopsy.4

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Section: Lower Urinary Symptoms and Acute Urinary Retentionmentioning

confidence: 92%

“…The reported incidence of acute urinary retention after transrectal biopsy is substantially lower, ranging from 0.4% to 6% 1,9,11,23,24 . Urinary retention is usually transient, and most patients do not require more invasive treatments than temporary placement of a urethral catheter.…”

Section: Lower Urinary Symptoms and Acute Urinary Retentionmentioning

confidence: 98%

Complications After Systematic, Random, and Image-guided Prostate Biopsy

et al. 2017

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“…The similarity in these figures could be related to the use of sextant biopsy protocol in both studies. However, Aktas et al [7] reported a slightly higher incidence of 6.5% in their study, where 10 biopsy cores were taken. It is possible that the higher incidence of instrumentation-related trauma induced by the increased number of cores during the biopsy procedure could account for the disparity in the incidence rates.…”

Section: Discussionmentioning

confidence: 74%

“…This could be because the baseline mean prostate volume in their patients (40 g) was smaller than the average prostate volume reported in the present study (47.8 g). Larger prostates are more prone to vigorous biopsy-related trauma during maneuvers to reach the base of the prostate [7]. Another reason for this variance might be that the decrease in urine flow rate which their patients experienced after the biopsy (1.6 ml/s) was comparatively lower than the decrease in flow rate patients experienced in the present study (2.8 ml/s), and thus, their flow rate decrease might not be significant enough to cause symptom perception.…”

Section: Discussionmentioning

confidence: 99%

A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

et al. 2020

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Background Biopsy-related inflammatory edema, urethral blood clots and sphincteric spasm could lead to post-biopsy voiding dysfunction. This study examines the impact of trans-rectal prostate biopsy on the voiding function of patients in our institution. Methods Between February 2017 and July 2018, quasi-experimental study was carried out on 68 patients with indication(s) for prostate biopsy. Prior to the biopsy, IPSS (International Prostate Symptoms Score) and Qmax (peak flow rate) of each patient were determined. These were re-assessed 7 and 14 days after biopsy, and compared to baseline data. Analysis was done using Statistical Package for Social Science with p < 0.05 considered significant. Results Post-biopsy acute urinary retention occurred in 4.4% of the patients. The total IPSS (12.5 vs. 14.7, p = 0.003), IPSS storage sub-score (6.7 vs. 8.3, p = 0.001), bother score (3.3 vs. 3.6, p = 0.025) and Qmax (18.7 vs. 15.9 ml/s, p = 0.001) significantly deteriorated from the baseline value on the 7th day post-biopsy. However, there was no significant difference in these variables in comparison with baseline by the 14th day after the biopsy. Patients with moderate IPSS and normal Qmax at baseline had significantly worsened values by the 7th post-biopsy day (p = 0.002 and p = 0.001, respectively) while those with lower baseline bother score had a higher tendency for worsening of their bother score. Conclusions Trans-rectal prostate biopsy causes significant worsening of lower urinary tract symptoms and associated deterioration in quality of life, which spontaneously resolved by the second week in the patients.

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“…Aktas et al investigated the effect of prostate volume on voiding function and IPSS score deterioration after TRUS guided prostate biopsy. Authors concluded that patients with prostate volume greater than 38.8 mL were more likely to have decreased IPSS scores following TRUS guided prostate biopsy [17].…”

Section: Discussionmentioning

confidence: 99%

Value of prostate gland volume measurement by transrectal US in prediction of the severity of lower urinary tract symptoms

et al. 2014

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Aim: The aim of our study was to analyze the value of prostate gland volume measurement by transrectal ultrasonography (TRUS) in prediction of severity of lower urinary tract symptoms (LUTS). Material and methods: One hundred and one patients undergoing TRUS guided core needle prostate biopsy for the investigation of prostate cancer were prospectively evaluated. All patients had filled in the international prostate symptom score (IPSS) scala, has been tested for PSA and prostate volume measurement was done by TRUS prior to biopsy. According to their biopsy results, patients were divided into two groups: negative and positive for malignancy. Results: There was a significant but low correlation of 0.37 between IPSS and prostate volume measurement by TRUS (p=0.001). Serum free prostate specific antigen (fPSA), total PSA (tPSA), ratio of fPSA to tPSA and PSA density did not show a statistically significant correlation with IPSS (p>0.05). No statistically significant difference in IPSS between the benign and malignant groups (p=0.681) was found. In the benign group, mean IPSS was 14.59 ± 8.73, range: 0-35 while in the malignant group, mean IPSS was 15.33 ± 9.22, range: 3-28. Conclusions: Prostate volume measurement by TRUS is a poor predictor for the determination of the severity of LUTS therefore IPSS should be primarily considered for the determination of the severity of LUTS. Also, according to this study conducted with patients who were at their first set of prostate biopsy, IPSS cannot be used as a predictor of malignancy. PSA values were not related to IPSS.

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Association of Prostate Volume With Voiding Impairment and Deterioration in Quality of Life After Prostate Biopsy

Cited by 14 publications

References 12 publications

Complications After Systematic, Random, and Image-guided Prostate Biopsy

Complications After Systematic, Random, and Image-guided Prostate Biopsy

A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

Value of prostate gland volume measurement by transrectal US in prediction of the severity of lower urinary tract symptoms

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